Pectus excavatum: More than a matter of aesthetics

Fizan Abdullah, Jamie Harris

Research output: Contribution to journalArticle

Abstract

Pectus excavatum (PE) is the most common congenital chest abnormality, and affects males 5 times more frequently than females. PE results from improper fusion of the ribs with the sternum during embryologic development. The cardinal presenting sign is chest depression. Evaluation includes serial measurement of the chest deformity defect. Additional evaluation of cardiopulmonary function, including arrhythmias and pulmonary function tests, should be done as well. Computed tomography scans are used to determine the Haller index, a measure of deformity severity, with a measurement of greater than 3.2 deemed severe. The main indication of repair is decreased cardiopulmonary capacity, not cosmetic. Surgical repair should be timed such that it occurs after the pediatric growth spurt. Generally, the Nuss procedure, which is minimally invasive, is the first-line surgical repair. Ravitch, or open repair, is used for more complex or asymmetric deformities.

Original languageEnglish (US)
Pages (from-to)e403-e406
JournalPediatric Annals
Volume45
Issue number11
DOIs
StatePublished - Nov 1 2016
Externally publishedYes

Fingerprint

Funnel Chest
Esthetics
Thorax
Sternum
Respiratory Function Tests
Ribs
Cosmetics
Cardiac Arrhythmias
Tomography
Depression
Pediatrics
Growth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Pectus excavatum : More than a matter of aesthetics. / Abdullah, Fizan; Harris, Jamie.

In: Pediatric Annals, Vol. 45, No. 11, 01.11.2016, p. e403-e406.

Research output: Contribution to journalArticle

Abdullah, Fizan ; Harris, Jamie. / Pectus excavatum : More than a matter of aesthetics. In: Pediatric Annals. 2016 ; Vol. 45, No. 11. pp. e403-e406.
@article{4f633e73073044da92962552e4b7b1ee,
title = "Pectus excavatum: More than a matter of aesthetics",
abstract = "Pectus excavatum (PE) is the most common congenital chest abnormality, and affects males 5 times more frequently than females. PE results from improper fusion of the ribs with the sternum during embryologic development. The cardinal presenting sign is chest depression. Evaluation includes serial measurement of the chest deformity defect. Additional evaluation of cardiopulmonary function, including arrhythmias and pulmonary function tests, should be done as well. Computed tomography scans are used to determine the Haller index, a measure of deformity severity, with a measurement of greater than 3.2 deemed severe. The main indication of repair is decreased cardiopulmonary capacity, not cosmetic. Surgical repair should be timed such that it occurs after the pediatric growth spurt. Generally, the Nuss procedure, which is minimally invasive, is the first-line surgical repair. Ravitch, or open repair, is used for more complex or asymmetric deformities.",
author = "Fizan Abdullah and Jamie Harris",
year = "2016",
month = "11",
day = "1",
doi = "10.3928/19382359-20161007-01",
language = "English (US)",
volume = "45",
pages = "e403--e406",
journal = "Pediatric Annals",
issn = "0090-4481",
publisher = "Slack Incorporated",
number = "11",

}

TY - JOUR

T1 - Pectus excavatum

T2 - More than a matter of aesthetics

AU - Abdullah, Fizan

AU - Harris, Jamie

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Pectus excavatum (PE) is the most common congenital chest abnormality, and affects males 5 times more frequently than females. PE results from improper fusion of the ribs with the sternum during embryologic development. The cardinal presenting sign is chest depression. Evaluation includes serial measurement of the chest deformity defect. Additional evaluation of cardiopulmonary function, including arrhythmias and pulmonary function tests, should be done as well. Computed tomography scans are used to determine the Haller index, a measure of deformity severity, with a measurement of greater than 3.2 deemed severe. The main indication of repair is decreased cardiopulmonary capacity, not cosmetic. Surgical repair should be timed such that it occurs after the pediatric growth spurt. Generally, the Nuss procedure, which is minimally invasive, is the first-line surgical repair. Ravitch, or open repair, is used for more complex or asymmetric deformities.

AB - Pectus excavatum (PE) is the most common congenital chest abnormality, and affects males 5 times more frequently than females. PE results from improper fusion of the ribs with the sternum during embryologic development. The cardinal presenting sign is chest depression. Evaluation includes serial measurement of the chest deformity defect. Additional evaluation of cardiopulmonary function, including arrhythmias and pulmonary function tests, should be done as well. Computed tomography scans are used to determine the Haller index, a measure of deformity severity, with a measurement of greater than 3.2 deemed severe. The main indication of repair is decreased cardiopulmonary capacity, not cosmetic. Surgical repair should be timed such that it occurs after the pediatric growth spurt. Generally, the Nuss procedure, which is minimally invasive, is the first-line surgical repair. Ravitch, or open repair, is used for more complex or asymmetric deformities.

UR - http://www.scopus.com/inward/record.url?scp=84996480113&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84996480113&partnerID=8YFLogxK

U2 - 10.3928/19382359-20161007-01

DO - 10.3928/19382359-20161007-01

M3 - Article

C2 - 27841924

AN - SCOPUS:84996480113

VL - 45

SP - e403-e406

JO - Pediatric Annals

JF - Pediatric Annals

SN - 0090-4481

IS - 11

ER -